For the last couple months I have had some pretty severe depression and anxiety, but it has been off and on. For the past couple weeks it's been pretty severe that I stay up some nights almost 24/7 thinking. My vision has also gotten worse and I am constantly in a fog. I have been on lexapro and Effexor, both have worked for about a couple weeks then I have started to get worse again. Any suggestions on good, medications to maybe check into?

Thanks you